Based on public Medicaid payment data.
Jessica Paola Sugajara Mitsuzuka
Medicaid Provider in Stafford, VA
Type
Individual Provider
Address
385 Garrisonville Rd Suite 108
Stafford, VA 22554
Phone
5406577645
NPI
1538392162
Procedures
2
Total Claims
266
Patients Served
257
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $27.06 | 243 | 243 |
| Dental Filling | $89.18 | 23 | 14 |
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